Provider Demographics
NPI:1134399538
Name:JB&MM CONSULTING SERVICES, LLC
Entity type:Organization
Organization Name:JB&MM CONSULTING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:MCGOWAN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA/HCA
Authorized Official - Phone:916-343-1164
Mailing Address - Street 1:1303 N SAN FERNANDO BLVD
Mailing Address - Street 2:# 202
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-4278
Mailing Address - Country:US
Mailing Address - Phone:818-471-7122
Mailing Address - Fax:818-845-0603
Practice Address - Street 1:1303 N SAN FERNANDO BLVD
Practice Address - Street 2:# 202
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91504-4278
Practice Address - Country:US
Practice Address - Phone:818-471-7122
Practice Address - Fax:818-845-0603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-03
Last Update Date:2008-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health